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Reproductive/Skin Case Reviews - Essay Example

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Menorrhagia refers to excessive flow and duration, even though the menstrual cycle has regular intervals. It is one of the most common gynecologic complaints in contemporary gynecology…
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Reproductive/Skin Case Reviews
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Reproductive/skin cases review Case Study A Menorrhagia refers to excessive flow and duration, even though the menstrual cycle has regular intervals. It is one of the most common gynecologic complaints in contemporary gynecology (Duckitt & Collins, 2008).
Endometriosis is the existence of endometrial tissue on the external parts of the uterus. The endometrial tissue is trapped in the pelvic area and lower tummy (abdomen) and, rarely found, in other areas in the body (Kocakoc, Bhatt, & Dogra, 2008).
The symptoms that Louise Brown is complaining about could potentially be of endometriosis (Giudice, 2010).
Unusual bleeding between periods, severe pain in her lower legs and pain during intercourse is all associated with endometriosis.
Nursing interventions I would consider in order to assist Louise include, monitoring for signs and symptoms of anemia if patient bleeds excessively with menses. Checking hemoglobin levels as ordered and explaining all the treatment options. Clarify any misconceptions that the patient might have concerning the disorder, associated complications, and fertility (Bulletti, Coccia, Battistoni, & Borini, 2010).
In relation to being a Muslim, this information should be considered when providing nursing care because they may also refuse medications containing gelatin, pork products, or alcohol (DUHL, 2001).The mother has no right to be with her daughter during the time of examination as the girl has refused. Ultimately, this ensures the ethical practice of privacy, autonomy, and preference for the patient being served by the health care provider (Margulis, 2003).
Case Study B
Benign prostatic hyperplasia is the growing in size of the prostate gland without malignancy present (Thorpe & Neal, 2003).
The effect this would have on George includes urinary frequency and urgency, hesitancy, and incomplete bladder emptying (Thorpe & Neal, 2003).
Cryptorchidism is a medical disorder where one or both testicles tend to remain in the abdomen, rather than go down into the scrotum. There is very little relationship between cryptorchidism and benign prostatic hyperplasia (Lee & Houk, 2013).
The symptoms that George is currently suffering from could be potentially benign prostatic hyperplasia. Pain on micturition, changes in stream, and increase in frequency are all typical symptoms of benign prostatic hyperplasia (Paolone, 2010).
Nursing interventions that will assist George and their rationales include encouraging the patient to void every 2–4 hours and when urge is noted. Consequently, this may minimize urinary retention and over-distension of the bladder (McVary et al., 2011). Assess pain, indicating location, intensity (scale of 0–10) duration. In the long run, this provides information to aid in determining choice or effectiveness of interventions (Roehrborn, 2005).
Case Study C
Psoriasis is a chronic skin condition associated with an overactive immune system. Symptoms include flaking, inflammation, and thick, white, silvery, or red patches of skin (Perera, Di Meglio, & Nestle, 2012).
My role as an EN to assist Sylvia includes, assessing for factors that increase the risk of psoriasis, including certain infection, diabetes, infection (Nestle, Kaplan, & Barker, 2009).
The treatments available for Sylvia include topical treatments such as emollients and dithranol that are usually applied to the skin surface and, systemic treatment such as methotrexate that is ingested (Lebwohl, 2003).
Support services available in South Australia for someone with psoriasis include counseling of patients especially those in depression and provision of medication phototherapy that will lessen the effects of the condition (Weigle & Mcbane, 2013).
Case Study D
Eczema refers to a medical condition that make the skin inflamed or irritated (Schmitt, Apfelbacher, & Flohr, 2011).
Nursing interventions that can be undertaken to assist Bridgette include, encouraging the patient to adopt skin care routines to decrease skin irritation and application of topical steroid creams or ointments (Peters, 2009).
Treatments available for eczema includes hydrocortisone that helps in inflammation and antihistamines to reduce the night time itching. The education that I would provide to Vera includes, encouraging the daughter to use mild soap and moisturizer that will not dry your skin and preserve the skin’s natural moisture. Taking of Short, warm showers will prevent drying of the skin (State Government of Victoria - Department of Human Services & Epworth Dermatology, 2013).
References
Bulletti, C., Coccia, M. E., Battistoni, S., & Borini, A. (2010). Endometriosis and infertility. Journal of Assisted Reproduction and Genetics.
Duckitt, K., & Collins, S. (2008). Menorrhagia. Clinical Evidence, 2008.
DUHL, L. (2001). Handbook of religion and health. Journal of Epidemiology and Community Health, 55, 688.
Giudice, L. C. (2010). Endometriosis. The New England Journal of Medicine, 362, 2389–98.
Kocakoc, E., Bhatt, S., & Dogra, V. S. (2008). Endometriosis. Ultrasound Clinics.
Lebwohl, M. (2003). Psoriasis. In Lancet (Vol. 361, pp. 1197–1204).
Lee, P. a, & Houk, C. P. (2013). Cryptorchidism. Current Opinion in Endocrinology, Diabetes, and Obesity, 20, 210–6.
Margulis, S. T. (2003). Privacy as a social issue and behavioral concept. Journal of Social Issues, 59, 243–261.
McVary, K. T., Roehrborn, C. G., Avins, A. L., Barry, M. J., Bruskewitz, R. C., Donnell, R. F., … Wei, J. T. (2011). Update on AUA guideline on the management of benign prostatic hyperplasia. The Journal of Urology, 185, 1793–1803.
Nestle, F. O., Kaplan, D. H., & Barker, J. (2009). Psoriasis. New England Journal of Medicine.
Paolone, D. R. (2010). Benign prostatic hyperplasia. Clinics in Geriatric Medicine.
Perera, G. K., Di Meglio, P., & Nestle, F. O. (2012). Psoriasis. Annual Review of Pathology, 7, 385–422.
Peters, J. (2009). Managing eczema. Nursing Times, 107, 22, 24–6.
Roehrborn, C. G. (2005). Benign prostatic hyperplasia: an overview. Reviews in Urology, 7 Suppl 9, S3–S14.
Schmitt, J., Apfelbacher, C. J., & Flohr, C. (2011). Eczema. Clinical Evidence, 2011.
State Government of Victoria - Department of Human Services, & Epworth Dermatology. (2013). Eczema (atopic dermatitis).
Thorpe, A., & Neal, D. (2003). Benign prostatic hyperplasia. Lancet, 361, 1359–1367.
Weigle, N., & Mcbane, S. (2013). Psoriasis. American Family Physician, 87, 626–633. Read More
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